Metro Bank

MY SPOUSE Classic Visa

Gold Visa

Femme Visa

M Lite MasterCard

IMAGE REFERENCE NO.: (For Picture Card Only)

Employed

Unemployed

Self-Employed

(For foreigners, give ACR & ICR)

First Name

Middle Name

Last Name

COMPANY NAME AND ADDRESS

Name to appear on the card POSITION

Home Address

TEL. NO.

MOBILE NO.

(in Pesos)

(For foreigners, give ACR & ICR)

:

: :

(1)

Date of Birth

Place of Birth

Office Phone

Assigned Monthly Spending Limit Signature of Supplementary

:

:

Relation to Principal Applicant

Home Phone

100% of Principal’s Credit Limit

Outstanding Loans

:

Others:_____________%

:

Credit Cards:

Other Loans:

T.I.N.

Other Liabilities: (2)

:

STATEMENT OF INCOME AND EXPENSES (Monthly Average - in Pesos) INCOME

HOME OWNERSHIP: CAR OWNERSHIP:

Compensation: Self:

YES

Spouse:

Business Net Income:

NO NO. OF DEPENDENTS:

Others: Dividends:

Interest:

Others:

(1) Total Monthly Income: EXPENSES Food/Clothing/Personal Expenses:

Housing: Utilities: ___________________________________________ Others: ________________________

(2) Total Monthly Expenses: PERSONAL REFERENCE (RELATIVE NOT LIVING WITH YOU) CONTACT NUMBER NAME OF RELATIVE

RELATIONSHIP

I/We hold myself/ourselves liable for all obligations and liabilities incurred with the use of the Metrobank Credit Card/s issued to me/us. I/We warrant, that I/we shall be jointly and severally liable for the same obligations and that I/we hereby commit ourselves to the following declarations: 1) I/We certify that the foregoing facts are true and correct; (2) I/We authorize METROBANK CARD CORPORATION (MCC) to receive and exchange any and all information concerning myself/ourselves with other financial institutions, entities tasked to provide consumer credit reporting or reference schemes, the appropriate government agencies and third parties with whom MCC may reasonably share such information; (3) I/We authorize MCC to acquire any information from Metrobank and PSBank to facilitate the approval of my credit card application as well as all credit card transactions, e.g., cash advance, increase of credit limit, etc. initiated upon my own initiative and in the event of default arising from non-payment of credit card obligations with MCC; (4)I/We authorize MCC, its authorized representative/s and/or agent/s to verify and investigate these facts from whatever source it deems appropriate; (5)I/We understand that should my/our application be denied, MCC has no obligation on its part to furnish the reason for such rejection; (6) I/We agree that by calling from MCC or any its service providers, MCC or its service providers may, at its sole option and discretion, tape or record all my telephone communications. I/We likewise agree that such taped or recorded communications or transactions may be used by MCC or its service provider against me/us or any third party or replayed or communicated to any third party, for any purpose, including as evidence in any proceeding”; and (7)I/We agree to the TERMS AND CONDITIONS governing the issuance of a Metrobank Credit Card. * with 5% Processing Fee ** add-on rate

MBTC CLIENT PSBANK CLIENT

METROBANK CARD NO.:

PSBANK CARD NO.:

AVERAGE DAILY BALANCE (ADB):

This Balance Transfer is based on my instructions and has no implication on my relationship with any card issuer. You may approve or reject my request at your sole discretion. I understand that should my application be denied, Metrobank Card Corporation (MCC) has no obligation on its part to furnish the reason for such rejection. I understand this application is nontransferable and non-revocable. I also authorize MCC to proceed with the Balance Transfer processing even if my MCC card has not been delivered. By signing below, I agree to abide by the Terms and Conditions governing the use of the Credit Card and the Terms and Conditions governing the Balance Transfer facility. I also agree to any pay all interests, fees and other charges and any government tax that may be levied thereon.

This further serves as a waiver of confidentiality of all personal information that I/we have provided and authorizes MCC to conduct random verification with the BIR in order to establish authenticity of my ITR and the accompanying financial statements I submitted.